CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Breckinridge Memorial Hospital

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$167

about 0.9× the $181 Medicare rate · typically $105–$291

modeled estimate · not a bill or quote

What this hospital charges insurers

$95

Below the fair price — a good deal

about $72 under the fair price · 0.5× Medicare

Medicare pays $181 Fair price $167 This hospital $95 Cash price $246 Hospital's list price $491

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

Lowest price of the 9 KY hospitals we have prices for — a strong deal.

Cheapest $95 Priciest $148

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Psychiatric evaluation (first visit) is about $167 (about 0.9× the $181 Medicare rate). Breckinridge Memorial Hospital charges insurers about $95, or about $246 in cash — below the fair price — a good deal. Located in Hardinsburg, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$177 - $417	98%
Blue Cross Blue Shieldmajor	$95 - $491	52%
Aetnamajor	$95 - $368	52%
Humanamajor	$368	203%
Ambetter (Centene)	$194	107%
CareSource	$177	98%
Molina	$170	94%
WellCare	$95 - $177	52%
+ 2 smaller / regional plans	$172 - $177

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 246), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 90791.

Insurance Before you use insurance

Call your insurance company to confirm Breckinridge Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 90791.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Breckinridge Memorial Hospital

Compare: Psychiatric evaluation (first visit) at other KY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.